Ian D Kleinhen MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IAN D KLEINHEN MD PLLC

Practice address

74 Mack St Ste 1
Windsor, CT 06095-2759

Phone

(860) 580-7071

Fax

(860) 298-0279

NPI assigned

Feb 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ian D. Kleinhen, MDNPI 1013916808

Title

Physician / Owner

Phone

(860) 580-7071

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian D Kleinhen, M.D.

  • Internal Medicine Physician
  • Windsor, CT
  • NPI 1013916808
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1669939369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MACK ST STE 1",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952759",
            "telephone_number": "860-580-7071",
            "fax_number": "860-298-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MACK ST STE 1",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952759",
            "telephone_number": "860-580-7071",
            "fax_number": "860-298-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN D KLEINHEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "KLEINHEN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "860-580-7071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Windsor, CT
• Providers in Windsor, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.